Ringworm on Scalp (cont.)
Ringworm on Scalp Home Remedies
Sometimes, scalp ringworm can heal without treatment, but consulting a doctor is advised. To ensure timely management of the infection, it must be treated with a course of oral antifungal medications. Shaving the scalp is unnecessary.
Shampoo with selenium sulfide (1%-2.5%), zinc pyrithione (1%-2%), or ketoconazole used two to three times weekly at home can help decrease shedding of spores, decrease spread of the infection to other people, and should be used together with the oral medications. Shampoos include Head & Shoulders Intensive Treatment, Selsun, Selsun Blue, Selsun Gold for Women, and Nizoral. Stronger medicated shampoos are sometimes prescribed by doctors, but in general, over-the-counter shampoos can be used.
Because family members may be carriers, some doctors recommend that family members should also use the medicated shampoo to reduce the number of spores and prevent the infection from returning.
Oral steroids can also be added for severe inflammatory types of scalp ringworm.
Hairbrushes and combs should be replaced or cleansed with disinfectant such as bleach solution. Bleach solution can be made by combining one part bleach to one part water, then soak the hairbrushes or combs for one hour daily for the first three days after using the shampoo and oral medication.
Home remedies such as vinegar (acetic acid) and tea tree oil have not been shown to improve scalp ringworm and may further irritate the skin and worsen the condition.
Medically Reviewed by a Doctor on 11/13/2014
Lisandro Irizarry, MD, MPH, FAAEM
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